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运动员明显腹腔再极化异常的25年随访:长期结果和心血管预后
Mario Salido1, Carlos Moliner-Abós2, Lucila Zoratti3
1Cardiac Imaging Unit at Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
International journal of cardiology
|February 26, 2025
概括
年轻运动员的腹腔复极异常 (VRA) 是罕见的. 1型VRA表明良性预后,而2型和3型则需要仔细评估心肌病随着时间的推移而发展.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 临床电生理学 临床电生理学
背景情况:
- 腹腔复极异常 (VRA) 在年轻的无症状运动员中不常见.
- VRA可能表明潜在的心肌病,并增加心脏突然死亡的风险.
- 这种人群中VRA的长期预后需要进一步评估.
研究的目的:
- 评估VRA的年轻无症状运动员的长期预后.
- 为了确定这个队列中心肌病发展的发生率.
- 为了评估25年的随访期内心血管结果.
主要方法:
- 研究了一组28名年轻,无症状的高加索男性运动员,在心电图上有VRA.
- 最初的胸前回声心电图 (TTE) 和跑步机测试排除了心脏病.
- 随访包括重复的TTE,跑步机测试和心脏磁共振 (CMR) 在选定的情况下超过25年.
主要成果:
- 所有运动员都活了25年,没有任何严重的不良心脏事件.
- 11%的人出现了表明心肌病的结构性变化,包括多变性心肌病.
- 病理病例显示VRA类型2 (左前TWI) 或类型3 (扩散TWI) 模式.
结论:
- 在没有结构异常的运动员中,1型VRA (孤立的右前TWI) 与良性长期结果有关.
- 由于与心肌病的联系,扩散性或左前性TWI (VRA类型2或3) 需要仔细评估.
- 年轻运动员的VRA模式可以预测长期的心脏健康和潜在的疾病发展.
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